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钝性创伤导致的双侧颈动脉和椎动脉夹层

Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma.

作者信息

Coss Catherine, Jones Jeffrey

机构信息

Spectrum Health, Michigan State University Emergency Medicine Residency Program, Grand Rapids, MI, USA.

出版信息

Case Rep Emerg Med. 2018 Mar 12;2018:1919034. doi: 10.1155/2018/1919034. eCollection 2018.

DOI:10.1155/2018/1919034
PMID:29721341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5867688/
Abstract

Carotid and vertebral artery injuries are rare following blunt trauma. They can, however, lead to severe consequences with a significant associated rate of stroke and intracranial hemorrhage, particularly if the diagnosis and treatment are delayed. We report a case of a 23-year-old female who presented to the Emergency Department with bilateral carotid and vertebral artery dissection following a motor vehicle collision (MVC).

摘要

钝性创伤后颈动脉和椎动脉损伤较为罕见。然而,它们可能导致严重后果,伴有显著的中风和颅内出血发生率,特别是在诊断和治疗延迟的情况下。我们报告一例23岁女性,在机动车碰撞(MVC)后因双侧颈动脉和椎动脉夹层而就诊于急诊科。

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本文引用的文献

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Blunt vertebral vascular injury in trauma patients: ATLS recommendations and review of current evidence.创伤患者钝性椎体血管损伤:美国创伤生命支持(ATLS)指南及现有证据综述
J Spine Surg. 2017 Jun;3(2):217-225. doi: 10.21037/jss.2017.05.10.
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Diagnosis and Treatment of Traumatic Cerebrovascular Injury: Pitfalls in the Management of Neurotrauma.创伤性脑血管损伤的诊断与治疗:神经创伤管理中的陷阱
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Blunt cerebrovascular injury practice management guidelines: the Eastern Association for the Surgery of Trauma.钝性脑血管损伤实践管理指南:东部创伤外科学会
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Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries.西方创伤协会创伤关键决策:钝性脑血管损伤的筛查与治疗
J Trauma. 2009 Dec;67(6):1150-3. doi: 10.1097/TA.0b013e3181c1c1d6.
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A multivariate logistic regression analysis of risk factors for blunt cerebrovascular injury.多变量逻辑回归分析钝性脑血管损伤的危险因素。
J Vasc Surg. 2010 Jan;51(1):57-64. doi: 10.1016/j.jvs.2009.08.071. Epub 2009 Dec 2.
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Screening for blunt cerebrovascular injury: selection criteria for use of angiography.筛查钝性脑血管损伤:血管造影使用的选择标准。
J Neurosurg. 2010 May;112(5):1146-9. doi: 10.3171/2009.6.JNS08416.
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Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents.钝性脑血管损伤的治疗:抗凝剂与抗血小板药物的等效性
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